| NPI | 1659826543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406043) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F307913-1) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2025-09-18 |